Hospital

ILLINI COMMUNITY HOSPITAL

Pittsfield, IL · CCN 141315 · Rates published

1,501 distinct procedures filed

15 distinct payers

153,447 rate rows

2024-11-22 last MRF observed · ⚠ 19 mo old

Data quality

47,468 of 153,447 rate rows are consumer-grade (30.9%)

105,979 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
professional (physician) fee — not the facility price	105,601
placeholder amount (≤ $0.02) — excluded from medians	372
per-diem day rate — not a per-procedure price	6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/7853/371396010_blessing-care-corporation_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/IlliniCommunityHospital/7853
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint	9bde4da79e67b79c… · 44,277,875 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
C1776 HCPCS	Implant Hammertube 2.75mm	15	$2,588.45	$18,270.87	$9,350.94	nat. median $3,432 outlier · 2.7×
26350 CPT	Rpr Tdn Without Graft	15	$3,234.82	$10,039.10	$8,496.98	nat. median $3,405 outlier · 2.5×
74178 CPT	CT Abd/pelvis W/wo Cont	15	$3,115.53	$9,668.88	$8,183.63	nat. median $977 outlier · 8.4×
73223 CPT	MRI Joint Upr Extr W/O&with Contrast	15	$2,544.45	$11,844.85	$7,457.86	nat. median $1,223 outlier · 6.1×
73723 CPT	MRI Hip W/wo Con Bil	15	$2,065.92	$11,689.78	$7,360.23	nat. median $1,263 outlier · 5.8×
74177 CPT	CT Abd/pelvis W Cont	15	$162.35	$7,930.73	$7,225.01	nat. median $928 outlier · 7.8×
20670 CPT	Rem Imp Superficial	15	$2,741.90	$8,509.35	$7,202.22	nat. median $1,902 outlier · 3.8×
71275 CPT	CT Angiography Chest	15	$2,445.92	$7,590.78	$7,169.07	nat. median $735 outlier · 9.7×
78452 CPT	Nm Myocrd Perf Spect Mult	15	$2,468.83	$7,661.87	$6,810.55	nat. median $1,765 outlier · 3.9×
C1788 HCPCS	Bard Powerport W 8fr	15	$2,589.12	$8,035.20	$6,800.90	nat. median $644 outlier · 10.6×
74174 CPT	CT Angio Abd/pelv W/wo	15	$2,455.61	$7,620.86	$6,774.10	nat. median $958 outlier · 7.1×
74176 CPT	CT Abd/pelvis Wo Cont	15	$729.82	$7,052.16	$6,610.32	nat. median $685 outlier · 9.7×
72156 CPT	MRI C-spine W & Without	15	$2,482.00	$7,702.77	$6,519.53	nat. median $1,092 outlier · 6.0×
72191 CPT	CTA Pelvis W/wo Post Proc	15	$2,445.92	$7,590.78	$6,424.75	nat. median $602 outlier · 10.7×
70553 CPT	MRI Iac W/wo Cont	15	$2,167.58	$10,090.45	$6,401.78	nat. median $1,122 outlier · 5.7×
70546 CPT	MRA Head W & Without	15	$2,415.60	$7,496.69	$6,345.11	nat. median $1,043 outlier · 6.1×
71552 CPT	MRI Chest W & Without	15	$2,399.18	$7,445.72	$6,301.98	nat. median $1,093 outlier · 5.8×
72157 CPT	MRI T-spine W & Without	15	$2,392.10	$7,423.77	$6,283.39	nat. median $1,093 outlier · 5.8×
74183 CPT	MRI Abdomen W & Without	15	$2,389.51	$7,415.72	$6,276.58	nat. median $1,101 outlier · 5.7×
75635 CPT	CTA Aorta/runoffs W/image	15	$2,238.51	$6,947.09	$6,175.19	nat. median $705 outlier · 8.8×
72158 CPT	MRI L-spine W & Without	15	$2,317.87	$7,193.38	$6,088.39	nat. median $1,080 outlier · 5.6×
10121 CPT	Inc&rem Fb Sq Tiss Compl	15	$2,317.83	$7,193.26	$6,088.30	nat. median $1,689 outlier · 3.6×
70543 CPT	MRI Orbt/fac/nck Without &with Contrast	15	$2,306.09	$7,156.82	$6,057.45	nat. median $1,077 outlier · 5.6×
73720 CPT	MRI Lwr Extremity W/O&with Contrast	15	$2,052.37	$9,554.14	$6,015.58	nat. median $1,189 outlier · 5.1×
70552 CPT	MRI Sella W Cont	15	$1,913.44	$8,856.58	$5,938.27	nat. median $959 outlier · 6.2×
C1889 HCPCS	Tube 1.27mm Duravent	15	$70.07	$16,530.80	$5,794.46	nat. median $2,393 outlier · 2.4×
65235 CPT	Rem Fb Intraocular	15	$2,179.62	$6,764.33	$5,725.26	nat. median $2,552 outlier · 2.2×
70482 CPT	CT Orbit/ear/fossa W/O&with Contrast	15	$1,947.90	$7,137.92	$5,709.36	nat. median $648 outlier · 8.8×
72197 CPT	MRI Pelvis W & Without	15	$2,162.69	$6,711.80	$5,680.80	nat. median $1,064 outlier · 5.3×
72147 CPT	MRI Thoracic Spine W Cont	15	$2,011.91	$6,243.85	$5,284.73	nat. median $963 outlier · 5.5×
72149 CPT	MRI L-spine W	15	$2,007.98	$6,231.65	$5,274.40	nat. median $970 outlier · 5.4×
73721 CPT	MRI Jnt Of Lwr Extre Without Contrast	15	$1,697.89	$7,903.98	$5,269.31	nat. median $899 outlier · 5.9×
72146 CPT	MRI T Spine Without	15	$1,901.46	$5,901.08	$5,245.41	nat. median $772 outlier · 6.8×
74182 CPT	MRI Abdomen W Cont	15	$1,974.96	$6,129.18	$5,187.67	nat. median $990 outlier · 5.2×
11424 CPT	Exc B9 Les Snhfg 3.1-4cm	15	$1,974.91	$6,129.02	$5,187.53	nat. median $1,696 outlier · 3.1×
70551 CPT	MRI Brain Without	15	$1,739.50	$8,097.66	$5,164.49	nat. median $772 outlier · 6.7×
72148 CPT	MRI L-spine Without	15	$1,854.21	$5,754.45	$5,115.06	nat. median $770 outlier · 6.6×
31525 CPT	Laryngoscopy Direct Diag	15	$1,943.66	$6,032.06	$5,105.47	nat. median $2,020 outlier · 2.5×
73718 CPT	MRI Foot Lt Wo Cont	15	$1,736.46	$8,083.52	$5,089.62	nat. median $916 outlier · 5.6×
72142 CPT	MRI C-spine W	15	$1,926.95	$5,980.20	$5,061.58	nat. median $958 outlier · 5.3×
74175 CPT	CT Angio Abdomen W/wo Con	15	$1,892.91	$5,874.54	$4,972.15	nat. median $710 outlier · 7.0×
73221 CPT	MRI Joint Upr Extrem Without Contrast	15	$1,696.30	$7,896.56	$4,971.91	nat. median $879 outlier · 5.7×
74181 CPT	MRI Abdomen Without	15	$1,801.10	$5,589.61	$4,968.54	nat. median $820 outlier · 6.1×
72141 CPT	MRI C-spine Without	15	$1,782.86	$5,533.00	$4,918.22	nat. median $765 outlier · 6.4×
72129 CPT	CT Thor Spine W/contrast	15	$1,847.00	$5,732.07	$4,851.57	nat. median $584 outlier · 8.3×
0200 RC	Icu/ccu Room Charge	15	$3,168.77	$5,213.70	$4,779.23	nat. median $3,803 1.3× median
74170 CPT	CT Abdomen-with/without	15	$1,800.06	$5,586.38	$4,728.25	nat. median $702 outlier · 6.7×
73701 CPT	CT Lower Extrm W Cont Bil	15	$1,499.73	$6,981.50	$4,654.33	nat. median $710 outlier · 6.6×
72194 CPT	CT Pelvis-with & Without	15	$1,769.91	$5,492.84	$4,649.08	nat. median $657 outlier · 7.1×
95811 CPT	Polysom 6/>yrs Cpap 4/> Parm	15	$1,223.58	$7,594.57	$4,615.81	nat. median $2,026 outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 1,501 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

94060	CPT	Spirometry W Bronchodil	22	15	$1,052.72	$631.64 40% off	$305.29	$947.45	$840.04	2024-11-22
62273	CPT	Epidural Blood Patch	18	15	$1,108.67	$665.21 40% off	$321.51	$997.80	$844.53	2024-11-22
28450	CPT	Cl Tx Fx Tarsal Wo Man	18	15	$1,113.84	$668.31 40% off	$323.01	$1,002.46	$848.47	2024-11-22
72050	CPT	Spine Cerv 4 Or 5 Views	21	15	$1,063.08	$637.85 40% off	$308.29	$956.77	$850.46	2024-11-22
P9031	HCPCS	Platelets Leuko Reduced	18	15	$1,122.68	$673.61 40% off	$325.58	$1,010.41	$855.20	2024-11-22
46083	CPT	Inc Thromb Ext Hemorrhoid	18	15	$1,125.60	$675.36 40% off	$326.42	$1,013.04	$857.42	2024-11-22
74022	CPT	Abdominal Series W/pa Che	21	15	$1,072.52	$643.52 40% off	$134.83	$965.27	$858.02	2024-11-22
P9033	HCPCS	Platelets Leuko Irradiate	18	15	$1,133.02	$679.82 40% off	$328.58	$1,019.72	$863.08	2024-11-22
A9500	HCPCS	Nm Cardiolite/per Study	18	15	$1,138.14	$682.89 40% off	$330.06	$1,024.33	$866.98	2024-11-22
24530	CPT	Cl Tx Fx Humeral Without Man	18	15	$1,139.09	$683.46 40% off	$330.34	$1,025.18	$867.70	2024-11-22
81240	CPT	F2 Gene Analysis	18	15	$1,147.68	$688.61 40% off	$332.83	$1,032.91	$874.24	2024-11-22
G0416	HCPCS	Prostate Bxs 10-20	18	15	$1,149.09	$689.46 40% off	$333.24	$1,034.18	$875.32	2024-11-22
49083	CPT	Abd Paracentesis W/imagng	18	15	$1,149.72	$689.84 40% off	$333.42	$1,034.75	$875.80	2024-11-22
94003	CPT	Ventilation Mgt Sq Days	18	15	$1,150.94	$690.57 40% off	$333.77	$1,035.85	$876.73	2024-11-22
74230	CPT	Mod Bar Swal W/speech Thr	18	15	$1,153.20	$691.92 40% off	$334.43	$1,037.88	$878.45	2024-11-22
88230	CPT	Tissue Cult Lymphocyte	18	15	$1,154.11	$692.47 40% off	$334.69	$1,038.70	$879.14	2024-11-22
76706	CPT	US Exam Aaa Screen	18	15	$1,155.71	$693.43 40% off	$335.16	$1,040.14	$880.36	2024-11-22
36593	CPT	Declot Imp Vad/cath Throm	18	15	$1,164.46	$698.68 40% off	$337.69	$1,048.01	$887.03	2024-11-22
93320	CPT	Doppler Echocardiogram	18	15	$1,167.08	$700.25 40% off	$338.45	$1,050.37	$889.02	2024-11-22
90677	CPT	Pneumococcal 20 Pfs 0.5ml	20	15	$1,229.03	$737.42 40% off	$329.46	$1,106.13	$889.21	2024-11-22
76805	CPT	US OB Intl >14wks 0 Days	18	15	$1,180.94	$708.57 40% off	$342.47	$1,062.85	$899.58	2024-11-22
76810	CPT	US OB Intl >14wks E Add	18	15	$1,180.94	$708.57 40% off	$342.47	$1,062.85	$899.58	2024-11-22
73522	CPT	Hips Bilat 3-4 Views	18	15	$1,183.57	$710.15 40% off	$343.24	$1,065.21	$901.59	2024-11-22
26740	CPT	Cl Tx Fx Articular Wo Man	18	15	$1,191.46	$714.88 40% off	$345.52	$1,072.31	$907.60	2024-11-22
24600	CPT	Cl Tx Elbow Dislc Wo Anes	18	15	$1,208.13	$724.88 40% off	$350.36	$1,087.32	$920.29	2024-11-22
99284	CPT	Emergency Level 4 Svc	27	15	$1,150.55	$690.33 40% off	$173.31	$1,035.50	$920.44	2024-11-22
10060	CPT	I&d Abscess Simple/single	19	15	$1,157.64	$694.59 40% off	$335.72	$1,041.88	$926.11	2024-11-22
71111	CPT	Rib Bil W/pa Chest Min 4v	18	15	$1,217.80	$730.68 40% off	$353.16	$1,096.02	$927.66	2024-11-22
26605	CPT	Cl Tx Metacarpal Fx W Man	18	15	$1,220.36	$732.22 40% off	$353.90	$1,098.32	$929.61	2024-11-22
G0379	HCPCS	M/s Obv Dir Adm	18	15	$1,223.81	$734.29 40% off	$354.90	$1,101.43	$932.24	2024-11-22
12035	CPT	Rep Intermed Sate 12.6-20	18	15	$1,225.02	$735.02 40% off	$355.26	$1,102.52	$933.16	2024-11-22
J1610	HCPCS	Glucagon 1mg Inj	18	15	$1,240.84	$744.51 40% off	$359.84	$1,116.76	$945.21	2024-11-22
76775	CPT	US Retroperitonel Limited	18	15	$1,258.60	$755.16 40% off	$364.99	$1,132.74	$958.74	2024-11-22
31500	CPT	Emergency Intubation	18	15	$1,263.62	$758.18 40% off	$366.45	$1,137.26	$962.57	2024-11-22
94002	CPT	Ventilation Mgt 1st Day	18	15	$1,265.24	$759.15 40% off	$366.92	$1,138.72	$963.80	2024-11-22
93931	CPT	Upper Extremity Study	18	15	$1,274.34	$764.61 40% off	$369.56	$1,146.91	$970.73	2024-11-22
72114	CPT	L/s Spine W/bend Min 6v	21	15	$1,213.95	$728.37 40% off	$352.05	$1,092.56	$971.16	2024-11-22
32554	CPT	Thoracentes Without Imaging	18	15	$1,279.46	$767.68 40% off	$371.04	$1,151.51	$974.63	2024-11-22
78278	CPT	Gastro Bld Loss Image	18	15	$1,283.50	$770.10 40% off	$372.22	$1,155.15	$977.70	2024-11-22
20610	CPT	Inj/asp Major Joint/bursa	31	15	$1,632.53	$979.52 40% off	$315.62	$1,469.28	$979.52	2024-11-22
64400	CPT	Inj Anes Trigem Nerv	19	15	$1,354.84	$812.91 40% off	$137.11	$1,219.36	$980.23	2024-11-22
76536	CPT	US Thyroid/soft Tiss Neck	21	15	$1,225.85	$735.51 40% off	$355.50	$1,103.27	$980.68	2024-11-22
81405	CPT	Mole Path Lv 6	18	15	$1,295.27	$777.17 40% off	$375.63	$1,165.74	$986.67	2024-11-22
81404	CPT	Mole Path Lv 5	18	15	$1,295.27	$777.17 40% off	$375.63	$1,165.74	$986.67	2024-11-22
12051	CPT	Rep Intermed Feenlm 2.5	18	15	$1,307.00	$784.20 40% off	$379.03	$1,176.30	$995.61	2024-11-22
25650	CPT	Cl Tx Fx Ulnar Styloid	18	15	$1,318.16	$790.90 40% off	$382.27	$1,186.34	$1,004.11	2024-11-22
C2617	HCPCS	Stnt Ur Contr 4.8fr Var	18	15	$1,329.58	$797.75 40% off	$385.58	$1,196.62	$1,012.81	2024-11-22
76830	CPT	US Transvaginal	26	15	$1,237.24	$742.35 40% off	$333.36	$1,257.11	$1,018.52	2024-11-22
36430	CPT	Transfusion Blood/compon	20	15	$1,339.63	$803.78 40% off	$388.49	$1,205.67	$1,020.46	2024-11-22
P9035	HCPCS	Plt Pheres Leukor Ea Unit	18	15	$1,346.79	$808.08 40% off	$390.57	$1,212.11	$1,025.91	2024-11-22
87522	CPT	Hepatitis C Quant(rna)	18	15	$1,375.69	$825.42 40% off	$398.95	$1,238.12	$1,047.93	2024-11-22
40800	CPT	Drng Absc Mouth Simp	18	15	$1,397.81	$838.69 40% off	$405.36	$1,258.03	$1,064.78	2024-11-22
12042	CPT	Rep Intermed Nhfg 2.6-7.5	18	15	$1,401.56	$840.94 40% off	$406.45	$1,261.40	$1,067.64	2024-11-22
72052	CPT	Spine Cerv 6 Or> Views	20	15	$1,409.03	$845.42 40% off	$408.62	$1,268.13	$1,073.33	2024-11-22
76942	CPT	Echo Guide For Biopsy	36	15	$1,266.14	$759.69 40% off	$367.18	$1,224.99	$1,076.22	2024-11-22
13121	CPT	Rep Cmplx Sal 2.6-7.5cm	18	15	$1,427.03	$856.22 40% off	$413.84	$1,284.33	$1,087.04	2024-11-22
81401	CPT	Tpmt Genetics	18	15	$1,436.56	$861.94 40% off	$416.60	$1,292.90	$1,094.30	2024-11-22
73523	CPT	Hip Ap/lat W/pelvis Bil	19	15	$1,396.48	$837.89 40% off	$404.98	$1,256.83	$1,117.18	2024-11-22
13132	CPT	Rep Cmp Fccmnaghf 2.6-7.5	18	15	$1,479.36	$887.62 40% off	$429.01	$1,331.42	$1,126.90	2024-11-22
27788	CPT	Cl Tx Fx Dist Fib W Man	18	15	$1,483.38	$890.03 40% off	$430.18	$1,335.04	$1,129.96	2024-11-22
76870	CPT	US Testicular	23	15	$1,416.18	$849.71 40% off	$410.69	$1,274.56	$1,132.94	2024-11-22
76705	CPT	ER Md US Abdomen Limited	22	15	$1,419.19	$851.52 40% off	$411.57	$1,277.27	$1,135.35	2024-11-22
93225	CPT	Up To 48hr Holter Record	23	15	$1,425.01	$855.01 40% off	$152.26	$1,282.51	$1,140.01	2024-11-22
A9541	HCPCS	Nm Sulpher Coll/per Study	19	15	$1,428.87	$857.33 40% off	$414.37	$1,285.98	$1,143.10	2024-11-22
43762	CPT	Change Gastrostomy Tube	18	15	$1,509.13	$905.48 40% off	$437.65	$1,358.22	$1,149.58	2024-11-22
27760	CPT	Cl Tx Fx Med Malleolus Wo	18	15	$1,510.18	$906.11 40% off	$437.95	$1,359.16	$1,150.38	2024-11-22
27840	CPT	Cl Tx Disloc Ankle Wo Ane	18	15	$1,527.78	$916.67 40% off	$443.06	$1,375.00	$1,163.78	2024-11-22
88309	CPT	Surg Path Level 6	18	15	$1,531.36	$918.82 40% off	$444.09	$1,378.22	$1,166.51	2024-11-22
85097	CPT	Bone Marrow Smear Interp	18	15	$1,531.36	$918.82 40% off	$444.09	$1,378.22	$1,166.51	2024-11-22
93308	CPT	Echocardiogram Ltd Study	18	15	$1,551.36	$930.82 40% off	$449.89	$1,396.22	$1,181.75	2024-11-22
87497	CPT	Cmv DNA Ultraquant Ab	18	15	$1,552.18	$931.31 40% off	$450.13	$1,396.96	$1,182.37	2024-11-22
93926	CPT	US Dup Low Ext Art Uni Lt	18	15	$1,578.28	$946.97 40% off	$457.70	$1,420.45	$1,202.25	2024-11-22
76882	CPT	US Xtr Non-vasc Lmtd Rt	20	15	$1,521.12	$912.68 40% off	$441.12	$1,369.01	$1,216.90	2024-11-22
20553	CPT	Inj Multi Trig Points 3>	18	15	$1,609.41	$965.65 40% off	$466.73	$1,448.47	$1,225.97	2024-11-22
J9217	HCPCS	Leuprolide Acetate 30mg	44	15	$1,606.78	$964.07 40% off	$323.66	$1,528.72	$1,228.92	2024-11-22
88262	CPT	Chromosome Analysis 15-20	18	15	$1,618.23	$970.94 40% off	$469.29	$1,456.41	$1,232.68	2024-11-22
64405	CPT	Inj Anes Greater Occ Nrv	44	15	$1,582.02	$949.22 40% off	$424.21	$1,974.74	$1,243.36	2024-11-22
62270	CPT	Lumbar Puncture Dx	19	15	$1,563.22	$937.94 40% off	$453.33	$1,406.90	$1,250.58	2024-11-22
76856	CPT	US Pelvis Complete	25	15	$1,720.66	$1,032.40 40% off	$333.36	$1,548.59	$1,257.11	2024-11-22
78015	CPT	Thyroid Carc Met Imaging	18	15	$1,660.64	$996.39 40% off	$481.59	$1,494.58	$1,264.99	2024-11-22
27265	CPT	Cl Tx Dislc Post Hip Arth	18	15	$1,665.22	$999.14 40% off	$482.91	$1,498.70	$1,268.49	2024-11-22
93226	CPT	Up To 48hr Holter Analys	23	15	$1,592.93	$955.76 40% off	$70.15	$1,433.64	$1,274.34	2024-11-22
92950	CPT	Cpr	18	15	$1,693.53	$1,016.12 40% off	$491.12	$1,524.18	$1,290.05	2024-11-22
12032	CPT	Rep Intermed Sate 2.6-7.5	19	15	$1,619.95	$971.97 40% off	$469.79	$1,457.96	$1,295.96	2024-11-22
0110	RC	Skilled Care Isolation	25	14	$1,246.00	$747.60 40% off	$681.56	$2,240.72	$1,319.40	2024-11-22
C8924	HCPCS	Echocardiogram Ltd W/cont	19	15	$1,669.90	$1,001.94 40% off	$484.27	$1,502.91	$1,335.92	2024-11-22
99285	CPT	Emergency Level 5 Svc	27	15	$1,684.02	$1,010.42 40% off	$310.51	$1,515.62	$1,347.22	2024-11-22
0120	RC	M/s Hospice Room Charge	36	14	$1,590.00	$954.00 40% off	$629.05	$2,334.81	$1,351.50	2024-11-22
12052	CPT	Rep Intermed Feenlm 2.6-5	18	15	$1,817.82	$1,090.70 40% off	$527.17	$1,636.04	$1,384.73	2024-11-22
90675	CPT	Rabies Vaccine Inj 1ml	18	15	$1,830.24	$1,098.15 40% off	$530.77	$1,647.22	$1,394.18	2024-11-22
P9039	HCPCS	Rbc Deglycerolized Ea Un	18	15	$1,841.09	$1,104.66 40% off	$533.92	$1,656.98	$1,402.45	2024-11-22
64450	CPT	Inject Anes Periph Nerve	18	15	$1,841.41	$1,104.85 40% off	$534.01	$1,657.27	$1,402.70	2024-11-22
G0304	HCPCS	Preop Servc Lvrs 1-9 Dos	18	15	$1,843.95	$1,106.37 40% off	$534.75	$1,659.56	$1,404.63	2024-11-22
76700	CPT	US Abd Complete	18	15	$1,844.79	$1,106.88 40% off	$534.99	$1,660.31	$1,405.27	2024-11-22
A9560	HCPCS	Nm Ultratag Label Rbc Dos	18	15	$1,848.27	$1,108.97 40% off	$536.00	$1,663.44	$1,407.92	2024-11-22
93925	CPT	US Dplx Low Ext Art Bilat	19	15	$1,953.86	$1,172.32 40% off	$268.52	$1,758.47	$1,413.62	2024-11-22
51705	CPT	Chg Cystostomy Tube Smpl	18	15	$1,856.39	$1,113.84 40% off	$538.35	$1,670.75	$1,414.11	2024-11-22
20611	CPT	US Guide Maj Joint Inj	18	15	$1,856.66	$1,114.00 40% off	$538.43	$1,670.99	$1,414.31	2024-11-22
93304	CPT	Echocard Ltd Study Congen	18	15	$1,863.31	$1,117.99 40% off	$540.36	$1,676.98	$1,419.38	2024-11-22
78013	CPT	Nm Thyroid Img W/blood Fl	18	15	$1,871.47	$1,122.89 40% off	$542.73	$1,684.32	$1,425.59	2024-11-22
10061	CPT	I&d Abscess Comp/multi	18	15	$1,894.50	$1,136.70 40% off	$549.41	$1,705.05	$1,443.13	2024-11-22
77001	CPT	Or Fluoro Picc/port Place	18	15	$1,905.40	$1,143.24 40% off	$552.57	$1,714.86	$1,451.44	2024-11-22
24655	CPT	Cl Tx Rad Head Fx W/man	18	15	$1,916.18	$1,149.71 40% off	$555.69	$1,724.56	$1,459.65	2024-11-22
95806	CPT	Sleep Stdy Unatt/resp Eff	23	15	$1,838.53	$1,103.12 40% off	$513.93	$1,654.68	$1,470.82	2024-11-22
93930	CPT	US Dplx Upp Ext Art Bilat	18	15	$1,948.30	$1,168.98 40% off	$565.01	$1,753.47	$1,484.12	2024-11-22
67938	CPT	Rmv Embd Fb Eyelid	18	15	$1,952.24	$1,171.35 40% off	$566.15	$1,757.02	$1,487.12	2024-11-22
81256	CPT	Hfe Gene Analysis	18	15	$1,971.33	$1,182.80 40% off	$571.69	$1,774.20	$1,501.66	2024-11-22
93971	CPT	Extremity Study	22	15	$1,881.26	$1,128.76 40% off	$362.65	$1,693.13	$1,505.01	2024-11-22
G0303	HCPCS	Preop Servc Lvrs 10-15dos	18	15	$1,977.95	$1,186.77 40% off	$573.61	$1,780.16	$1,506.70	2024-11-22
94070	CPT	Methacholine Challenge	18	15	$1,986.10	$1,191.66 40% off	$575.97	$1,787.49	$1,512.91	2024-11-22
26645	CPT	Clsd Tx Carpomet Fx W/man	18	15	$2,010.14	$1,206.09 40% off	$582.94	$1,809.13	$1,531.22	2024-11-22
C1751	HCPCS	Cath Central Vein Kit	70	15	$2,471.94	$1,483.17 40% off	$88.87	$3,257.92	$1,544.42	2024-11-22
93976	CPT	US Duplx Abd/pelvis Ltd	18	15	$2,030.89	$1,218.54 40% off	$588.96	$1,827.80	$1,547.03	2024-11-22
27810	CPT	Cl Tx Fx Bimalleo W Man	18	15	$2,036.95	$1,222.17 40% off	$590.72	$1,833.26	$1,551.65	2024-11-22
28435	CPT	Cl Tx Fx Talus W Man	18	15	$2,072.25	$1,243.35 40% off	$600.95	$1,865.03	$1,578.54	2024-11-22
J9298	HCPCS	Opduala 240/80mg-20ml Sdv	18	15	$2,075.29	$1,245.18 40% off	$601.83	$1,867.76	$1,580.85	2024-11-22
92960	CPT	Cardioversion Elective	18	15	$2,102.44	$1,261.47 40% off	$609.71	$1,892.20	$1,601.53	2024-11-22
10120	CPT	Remove Fb Sq Simple	18	15	$2,109.39	$1,265.64 40% off	$611.72	$1,898.45	$1,606.83	2024-11-22
G0302	HCPCS	Preop Servc Lvrs Comp 16+	18	15	$2,111.97	$1,267.19 40% off	$612.47	$1,900.77	$1,608.80	2024-11-22
25605	CPT	Cl Tx Dist Rad Fx W Man	18	15	$2,116.00	$1,269.60 40% off	$613.64	$1,904.40	$1,611.86	2024-11-22
78708	CPT	Nm Kidney Func Sngl Lasix	18	15	$2,121.68	$1,273.01 40% off	$615.29	$1,909.51	$1,616.19	2024-11-22
93017	CPT	Stress Test	21	15	$2,020.59	$1,212.36 40% off	$585.97	$1,818.53	$1,616.47	2024-11-22
76770	CPT	US Bil Kid/retro	21	15	$2,038.97	$1,223.39 40% off	$591.30	$1,835.07	$1,631.18	2024-11-22
P9037	HCPCS	Plt Pher Leukor Irr Ea Un	18	15	$2,191.36	$1,314.82 40% off	$635.49	$1,972.22	$1,669.27	2024-11-22
38221	CPT	Bone Marrow Biopsy	18	15	$2,210.33	$1,326.20 40% off	$641.00	$1,989.30	$1,683.72	2024-11-22
24535	CPT	Cl Tx Fx Humeral W Man	18	15	$2,220.25	$1,332.15 40% off	$643.87	$1,998.23	$1,691.28	2024-11-22
11011	CPT	Dbrdmt W/rmvl Skin Subq	18	15	$2,229.26	$1,337.56 40% off	$646.49	$2,006.33	$1,698.14	2024-11-22
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml	31	15	$2,006.10	$1,203.66 40% off	$581.77	$1,820.20	$1,705.19	2024-11-22
93307	CPT	2d Echo Only	18	15	$2,253.99	$1,352.40 40% off	$653.66	$2,028.59	$1,716.97	2024-11-22
27818	CPT	Cl Tx Fx Trimall Ankle W	18	15	$2,265.62	$1,359.38 40% off	$657.03	$2,039.06	$1,725.84	2024-11-22
32551	CPT	Thoracostomy W Chest Tube	18	15	$2,300.89	$1,380.54 40% off	$667.26	$2,070.80	$1,752.70	2024-11-22
74300	CPT	Or Cholangiogram Initial	18	15	$2,303.46	$1,382.08 40% off	$668.00	$2,073.11	$1,754.66	2024-11-22
93880	CPT	US Carotid Doppler Bilat	19	15	$2,201.76	$1,321.06 40% off	$638.51	$1,981.58	$1,761.41	2024-11-22
12036	CPT	Rep Intermed Sate 20.1-30	18	15	$2,339.95	$1,403.97 40% off	$678.59	$2,105.96	$1,782.46	2024-11-22
C8923	HCPCS	Echocardiogram W Contrast	18	15	$2,347.58	$1,408.55 40% off	$680.80	$2,112.82	$1,788.27	2024-11-22
12031	CPT	Rep Intermed Sate 2.5	18	15	$2,359.92	$1,415.96 40% off	$684.38	$2,123.93	$1,797.67	2024-11-22
78014	CPT	Thyroid Img W/blood Flow	18	15	$2,434.24	$1,460.55 40% off	$705.93	$2,190.82	$1,854.28	2024-11-22
40652	CPT	Rpr Lip Full Thick Half	18	15	$2,438.54	$1,463.13 40% off	$707.18	$2,194.69	$1,857.56	2024-11-22
38220	CPT	Bone Marrow Aspiration	18	15	$2,498.06	$1,498.84 40% off	$724.44	$2,248.25	$1,902.90	2024-11-22
78070	CPT	Nm Parathyroid Imaging	18	15	$2,519.35	$1,511.61 40% off	$730.61	$2,267.42	$1,919.12	2024-11-22
11750	CPT	Exc Ingrown Nail	18	15	$2,528.68	$1,517.21 40% off	$733.32	$2,275.81	$1,926.22	2024-11-22
62322	CPT	Inj Epid Lumb/sac Wo Guid	18	15	$2,535.88	$1,521.53 40% off	$735.41	$2,282.29	$1,931.70	2024-11-22
78580	CPT	Lung Scan Perf Only	18	15	$2,552.82	$1,531.70 40% off	$740.32	$2,297.54	$1,944.61	2024-11-22
P9073	HCPCS	Platelet Phersis Path Red	18	15	$2,617.02	$1,570.22 40% off	$758.94	$2,355.32	$1,993.52	2024-11-22
J2805	HCPCS	Nm Kinevac 5ug/per Study	20	15	$2,441.67	$1,465.01 40% off	$708.08	$2,197.50	$2,014.38	2024-11-22
93970	CPT	US Duplx Upp Ext Ven Bil	33	15	$2,503.86	$1,502.32 40% off	$726.12	$2,504.51	$2,128.28	2024-11-22
A9540	HCPCS	Nm Maa/per Study Dose	18	15	$2,795.90	$1,677.54 40% off	$810.81	$2,516.31	$2,129.78	2024-11-22
46050	CPT	I&d Perianal Abscess Supr	18	15	$2,798.19	$1,678.92 40% off	$811.48	$2,518.37	$2,131.52	2024-11-22
93303	CPT	Echocardiogram Congenital	19	15	$2,768.42	$1,661.06 40% off	$802.84	$2,491.58	$2,214.74	2024-11-22
78264	CPT	Nm Gastric Emptying Scan	18	15	$2,931.59	$1,758.96 40% off	$850.16	$2,638.43	$2,233.14	2024-11-22
70540	CPT	MRI Neck Wo Cont	31	15	$3,081.06	$1,848.64 40% off	$767.78	$2,772.95	$2,250.38	2024-11-22
90375	CPT	Rabies Imm-glob 300u/1ml	18	15	$3,009.70	$1,805.82 40% off	$872.81	$2,708.73	$2,292.64	2024-11-22
11010	CPT	Deb/rem Fb Skin/sq Open	18	15	$3,045.32	$1,827.20 40% off	$883.14	$2,740.79	$2,319.78	2024-11-22
78707	CPT	Nm Kidney Function Single	18	15	$3,049.59	$1,829.76 40% off	$884.38	$2,744.63	$2,323.03	2024-11-22
78582	CPT	Lung Ventilat&perfus Imag	18	15	$3,063.15	$1,837.89 40% off	$888.31	$2,756.84	$2,333.36	2024-11-22
23605	CPT	Cl Tx Humeral Fx W Man	18	15	$3,101.23	$1,860.74 40% off	$899.36	$2,791.11	$2,362.36	2024-11-22
93350	CPT	Stress Echo Only	18	15	$3,148.53	$1,889.12 40% off	$913.07	$2,833.68	$2,398.39	2024-11-22
C1726	HCPCS	Balloon Dilator 12-15cm	18	15	$3,177.84	$1,906.71 40% off	$921.57	$2,860.06	$2,420.72	2024-11-22
99291	CPT	Critical Care 30-74 Min	19	15	$3,421.86	$2,053.12 40% off	$326.16	$3,079.67	$2,475.72	2024-11-22
21315	CPT	Clsd Tx Nose Fx Without Stab	18	15	$3,251.41	$1,950.85 40% off	$942.91	$2,926.27	$2,476.76	2024-11-22
78315	CPT	Nm Bone Scan-3 Phase	18	15	$3,260.27	$1,956.17 40% off	$945.48	$2,934.24	$2,483.51	2024-11-22
81490	CPT	Vectra Labcorp	18	15	$3,274.69	$1,964.82 40% off	$949.66	$2,947.22	$2,494.49	2024-11-22
23655	CPT	Cl Tx Should Dislc W Anes	18	15	$3,295.07	$1,977.05 40% off	$955.57	$2,965.56	$2,510.02	2024-11-22
A9567	HCPCS	Dtpa Aerosol/per Studydos	18	15	$3,295.91	$1,977.55 40% off	$955.81	$2,966.32	$2,510.66	2024-11-22
55250	CPT	Vasectomy	18	15	$3,301.78	$1,981.07 40% off	$957.52	$2,971.60	$2,515.13	2024-11-22
78472	CPT	Nm Muga Scan Single	18	15	$3,309.72	$1,985.84 40% off	$959.82	$2,978.75	$2,521.18	2024-11-22
38222	CPT	Dx Bone Marrow Bx And Asp	18	15	$3,315.50	$1,989.30 40% off	$961.50	$2,983.95	$2,525.58	2024-11-22
C8928	HCPCS	Stress Echo W Contrast	18	15	$3,323.39	$1,994.04 40% off	$963.78	$2,991.05	$2,531.59	2024-11-22
36556	CPT	Insertion Non-tun Ctr Cvc	18	15	$3,327.57	$1,996.55 40% off	$965.00	$2,994.81	$2,534.78	2024-11-22
36569	CPT	Picc Placement	18	15	$3,327.61	$1,996.57 40% off	$965.01	$2,994.85	$2,534.81	2024-11-22
78226	CPT	Hepatobilary & Gb	19	15	$3,184.28	$1,910.57 40% off	$923.44	$2,865.85	$2,547.42	2024-11-22
78227	CPT	Hepatobiliary/gb W Cck	20	15	$3,184.28	$1,910.57 40% off	$923.44	$2,865.85	$2,547.42	2024-11-22
81225	CPT	Cyp2c19 Gene Analysis	18	15	$3,397.83	$2,038.70 40% off	$985.37	$3,058.05	$2,588.30	2024-11-22
78306	CPT	Nm Bone Scan Whole Body	20	15	$3,266.82	$1,960.10 40% off	$947.38	$2,940.14	$2,613.46	2024-11-22
70450	CPT	CT Head-without	24	15	$3,465.95	$2,079.57 40% off	$729.82	$3,119.36	$2,640.19	2024-11-22
70490	CPT	CT Neck Soft Tissue-without	18	15	$3,527.31	$2,116.39 40% off	$1,022.92	$3,174.58	$2,686.93	2024-11-22
C1713	HCPCS	System Fibertak Button	802	15	$4,316.40	$2,589.84 40% off	$72.94	$33,055.03	$2,689.51	2024-11-22
70542	CPT	MRI Neck W Cont	18	15	$3,669.14	$2,201.49 40% off	$1,064.05	$3,302.23	$2,794.97	2024-11-22
72195	CPT	MRI Pelvis Without	18	15	$3,745.05	$2,247.03 40% off	$1,086.06	$3,370.55	$2,852.79	2024-11-22
70460	CPT	CT Head-with	18	15	$3,787.72	$2,272.64 40% off	$1,098.44	$3,408.95	$2,885.30	2024-11-22
C1781	HCPCS	Mesh 3d Right Large	291	15	$4,251.88	$2,551.13 40% off	$479.52	$8,755.41	$2,895.32	2024-11-22
26742	CPT	Cl Tx Fx Mcp/ip Jt W Man	18	15	$3,821.44	$2,292.87 40% off	$1,108.22	$3,439.30	$2,910.98	2024-11-22
20103	CPT	Explor Penetrat Wound Ex	18	15	$3,902.41	$2,341.45 40% off	$1,131.70	$3,512.17	$2,972.66	2024-11-22
93306	CPT	Echo Complete W/cf & Dop	25	15	$3,733.24	$2,239.95 40% off	$1,007.97	$3,733.24	$2,986.59	2024-11-22
51720	CPT	Bladder Instill Chemo	18	15	$3,969.62	$2,381.78 40% off	$1,151.19	$3,572.66	$3,023.86	2024-11-22
A9562	HCPCS	Nm Tc99 Mertiatide/study	18	15	$4,076.81	$2,446.09 40% off	$1,182.27	$3,669.13	$3,105.51	2024-11-22
72198	CPT	MRA Pelvis W Cont	44	15	$4,063.90	$2,438.34 40% off	$1,071.38	$4,987.53	$3,140.27	2024-11-22
70488	CPT	CT Maxillofacial-w/& Without	18	15	$4,134.39	$2,480.64 40% off	$1,198.97	$3,720.95	$3,149.37	2024-11-22
73725	CPT	MRA Low Ext W/wo Cont	31	15	$3,745.05	$2,247.03 40% off	$1,086.06	$5,055.81	$3,183.29	2024-11-22
73218	CPT	MRI Upper Extremity Without Contrast	31	15	$3,745.05	$2,247.03 40% off	$1,086.06	$5,055.81	$3,183.29	2024-11-22
71555	CPT	MRA Chest Wo Cont	44	15	$4,013.23	$2,407.94 40% off	$1,086.06	$3,968.85	$3,183.29	2024-11-22
70487	CPT	CT Maxillofacial-with	20	15	$4,012.23	$2,407.34 40% off	$1,163.55	$3,611.01	$3,209.78	2024-11-22
72196	CPT	MRI Pelvis W Cont	18	15	$4,236.25	$2,541.75 40% off	$1,228.51	$3,812.63	$3,226.97	2024-11-22
11000	CPT	Debrid Infected Skin <10%	18	15	$4,239.71	$2,543.83 40% off	$1,229.52	$3,815.74	$3,229.60	2024-11-22
71250	CPT	CT Chest Without Contrast F/u	38	15	$3,815.39	$2,289.24 40% off	$1,027.94	$3,605.54	$3,243.08	2024-11-22
45300	CPT	Proctosigmoid Rgd W/wo	18	15	$4,279.08	$2,567.45 40% off	$1,240.93	$3,851.17	$3,259.59	2024-11-22
72127	CPT	CT Neck Spine Without & With Contrast	18	15	$4,378.95	$2,627.37 40% off	$1,269.90	$3,941.06	$3,335.67	2024-11-22
0206	RC	Imc Room Charge	16	15	$4,045.00	$2,427.00 40% off	$2,212.62	$3,640.50	$3,337.12	2024-11-22
70486	CPT	CT Facial Bones Without	22	15	$4,050.84	$2,430.51 40% off	$1,174.74	$3,663.98	$3,341.94	2024-11-22
27825	CPT	Cl Tx Dist Tib Fx W Man	18	15	$4,400.42	$2,640.26 40% off	$1,276.12	$3,960.38	$3,352.02	2024-11-22
74185	CPT	MRA Abd W Cont	44	15	$4,409.83	$2,645.90 40% off	$1,143.91	$3,976.35	$3,352.83	2024-11-22
70544	CPT	MRA Head Without	18	15	$4,475.25	$2,685.15 40% off	$1,297.82	$4,027.73	$3,409.02	2024-11-22
81229	CPT	Chromosomal Microarray	18	15	$4,489.64	$2,693.79 40% off	$1,302.00	$4,040.68	$3,419.98	2024-11-22
72128	CPT	CT Thoracic Spine-without	23	15	$4,304.97	$2,582.99 40% off	$128.10	$4,437.63	$3,443.98	2024-11-22
11403	CPT	Exc Ben Les 2.1-3.0cm	19	15	$4,780.66	$2,868.40 40% off	$261.80	$4,302.59	$3,458.80	2024-11-22
70480	CPT	CT Orbit Wo Cont	19	15	$4,355.84	$2,613.51 40% off	$1,263.19	$4,160.98	$3,484.67	2024-11-22
70491	CPT	CT Neck Soft Tissue-with	20	15	$4,582.11	$2,749.27 40% off	$729.82	$4,123.90	$3,490.42	2024-11-22
72192	CPT	CT Pelvis Without	19	15	$4,367.98	$2,620.79 40% off	$1,266.71	$3,931.18	$3,494.38	2024-11-22
C8929	HCPCS	Cont Enhnc Tte W/cf & Dop	20	15	$4,385.56	$2,631.34 40% off	$1,271.81	$3,947.00	$3,508.45	2024-11-22
26011	CPT	Drn Finger Abscess Compl	18	15	$4,612.16	$2,767.30 40% off	$1,337.53	$4,150.94	$3,513.31	2024-11-22
74150	CPT	CT Abdomen-without	19	15	$4,555.01	$2,733.01 40% off	$1,320.95	$4,099.51	$3,644.01	2024-11-22
0750	RC	Gil Level I Ea Add 15 Min	57	15	$4,307.18	$2,584.31 40% off	$312.32	$6,536.93	$3,661.10	2024-11-22
70547	CPT	MRA Neck Without	18	15	$4,885.37	$2,931.23 40% off	$1,416.76	$4,396.83	$3,721.43	2024-11-22
78451	CPT	Nm Myocard Perf Spect Sgl	18	15	$4,923.94	$2,954.37 40% off	$1,427.94	$4,431.55	$3,750.81	2024-11-22
70481	CPT	CT Orbit W Cont	18	15	$4,925.73	$2,955.44 40% off	$1,428.46	$4,433.16	$3,752.17	2024-11-22
10140	CPT	Aspir Cys/hemat/abscess	18	15	$4,953.03	$2,971.82 40% off	$1,436.38	$4,457.73	$3,772.97	2024-11-22
70470	CPT	CT Head-with/without	18	15	$5,023.80	$3,014.28 40% off	$1,456.90	$4,521.42	$3,826.88	2024-11-22
74160	CPT	CT Abdomen-with	18	15	$5,075.99	$3,045.60 40% off	$1,472.04	$4,568.39	$3,866.64	2024-11-22
40654	CPT	Rpr Lip Full Thick>1/2	18	15	$5,084.71	$3,050.83 40% off	$1,474.57	$4,576.24	$3,873.28	2024-11-22
70549	CPT	MRA Neck W & Without	18	15	$5,098.08	$3,058.85 40% off	$1,478.44	$4,588.27	$3,883.46	2024-11-22
70496	CPT	CT Angio Head	21	15	$5,428.88	$3,257.33 40% off	$397.20	$4,885.99	$3,927.80	2024-11-22
72193	CPT	CT Pelvis-with	20	15	$4,909.99	$2,946.00 40% off	$1,423.90	$4,418.99	$3,927.99	2024-11-22
71260	CPT	CT Chest-with	25	15	$4,802.52	$2,881.52 40% off	$1,392.73	$4,322.27	$3,928.37	2024-11-22
70498	CPT	CT Angio Neck	20	15	$5,216.67	$3,130.01 40% off	$1,512.83	$4,695.00	$3,973.80	2024-11-22
70492	CPT	CT Neck Soft Tissue W&without	18	15	$5,230.76	$3,138.46 40% off	$1,516.92	$4,707.68	$3,984.53	2024-11-22
72132	CPT	CT Lumbar Spine W Cont	18	15	$5,237.70	$3,142.62 40% off	$1,518.93	$4,713.93	$3,989.82	2024-11-22
59409	CPT	Vaginal Delivery	18	15	$5,245.94	$3,147.57 40% off	$1,521.32	$4,721.35	$3,996.10	2024-11-22
27752	CPT	Cl Tx Fx Tib Shaft W Man	18	15	$5,324.68	$3,194.81 40% off	$1,544.16	$4,792.21	$4,056.07	2024-11-22
95810	CPT	All Night Sleep Study	33	15	$7,452.82	$4,471.70 40% off	$1,080.66	$6,707.54	$4,076.69	2024-11-22
72125	CPT	CT Cervical Spine-without	21	15	$5,108.53	$3,065.12 40% off	$128.10	$4,597.68	$4,086.82	2024-11-22
53620	CPT	Dilate Urethra Stricture	18	15	$5,387.57	$3,232.55 40% off	$1,562.40	$4,848.81	$4,103.98	2024-11-22
73201	CPT	CT Upper Extremity With Contrast	31	15	$4,835.75	$2,901.45 40% off	$1,402.37	$6,528.26	$4,110.39	2024-11-22
24675	CPT	Clsd Tx Ulnar Fx W/man	18	15	$5,396.06	$3,237.64 40% off	$1,564.86	$4,856.45	$4,110.45	2024-11-22
55100	CPT	Drain Scrotal Wall Absc	18	15	$5,403.54	$3,242.13 40% off	$1,567.03	$4,863.19	$4,116.15	2024-11-22
72131	CPT	CT Lumbar Spine Without Cont	20	15	$5,195.05	$3,117.03 40% off	$1,506.56	$4,675.55	$4,156.04	2024-11-22
20520	CPT	Rmvl Fb Musc/tend Simpl	18	15	$5,513.52	$3,308.12 40% off	$1,598.92	$4,962.17	$4,199.93	2024-11-22
73200	CPT	CT Uppr Extrm Wo Cont Bil	35	15	$7,012.32	$4,207.40 40% off	$1,355.71	$6,311.09	$4,207.38	2024-11-22
46040	CPT	I/d Perirectal Absc	18	15	$5,564.02	$3,338.42 40% off	$1,613.57	$5,007.62	$4,238.40	2024-11-22
71550	CPT	MRI Chest Without	18	15	$5,581.54	$3,348.93 40% off	$1,618.65	$5,023.39	$4,251.74	2024-11-22
25635	CPT	Clsd Tx Carpal Fx W/man	18	15	$5,586.54	$3,351.93 40% off	$1,620.10	$5,027.89	$4,255.55	2024-11-22
32556	CPT	Perq Drn Plura Wo Img Bil	31	15	$7,169.83	$4,301.90 40% off	$1,386.17	$6,452.85	$4,301.90	2024-11-22
73202	CPT	CT Uppr Extremity W/O&with Contrast	31	15	$5,076.16	$3,045.70 40% off	$1,472.09	$6,852.82	$4,314.74	2024-11-22
71270	CPT	CT Chest-with/without	19	15	$5,412.86	$3,247.72 40% off	$1,569.73	$4,871.57	$4,330.29	2024-11-22
73220	CPT	MRI Uppr Extremity W/O&with Contrast	57	15	$5,098.08	$3,058.85 40% off	$1,477.92	$6,882.39	$4,333.37	2024-11-22
72133	CPT	CT Lumbar Spine W/&without	18	15	$5,714.55	$3,428.73 40% off	$1,657.22	$5,143.10	$4,353.06	2024-11-22
73206	CPT	CT Angio Upper Extremity	19	15	$5,443.87	$3,266.33 40% off	$1,578.72	$4,899.48	$4,355.10	2024-11-22
73700	CPT	CT Low Extrem Wo Cont Bil	38	15	$7,295.85	$4,377.51 40% off	$1,313.25	$6,566.27	$4,377.51	2024-11-22
73702	CPT	CT Low Extr W/wo Cont Bil	31	15	$7,322.01	$4,393.21 40% off	$1,415.59	$6,589.81	$4,393.20	2024-11-22
25260	CPT	Rpr Tendon Wrist Single	18	15	$5,774.37	$3,464.63 40% off	$1,674.57	$5,196.93	$4,398.63	2024-11-22
35226	CPT	Repair Bld Vessl Lw Ext	18	15	$6,059.06	$3,635.44 40% off	$1,757.13	$5,453.15	$4,615.49	2024-11-22
95811	CPT	Polysom 6/>yrs Cpap 4/> Parm	31	15	$8,438.41	$5,063.05 40% off	$1,223.58	$7,594.57	$4,615.81	2024-11-22
72194	CPT	CT Pelvis-with & Without	18	15	$6,103.15	$3,661.89 40% off	$1,769.91	$5,492.84	$4,649.08	2024-11-22
73701	CPT	CT Lower Extrm W Cont Bil	31	15	$7,757.22	$4,654.34 40% off	$1,499.73	$6,981.50	$4,654.33	2024-11-22
74170	CPT	CT Abdomen-with/without	18	15	$6,207.09	$3,724.26 40% off	$1,800.06	$5,586.38	$4,728.25	2024-11-22
0200	RC	Icu/ccu Room Charge	16	15	$5,793.00	$3,475.80 40% off	$3,168.77	$5,213.70	$4,779.23	2024-11-22
72129	CPT	CT Thor Spine W/contrast	18	15	$6,368.97	$3,821.39 40% off	$1,847.00	$5,732.07	$4,851.57	2024-11-22
72141	CPT	MRI C-spine Without	21	15	$6,147.78	$3,688.67 40% off	$1,782.86	$5,533.00	$4,918.22	2024-11-22
74181	CPT	MRI Abdomen Without	19	15	$6,210.68	$3,726.41 40% off	$1,801.10	$5,589.61	$4,968.54	2024-11-22
73221	CPT	MRI Joint Upr Extrem Without Contrast	38	15	$5,849.30	$3,509.58 40% off	$1,696.30	$7,896.56	$4,971.91	2024-11-22
74175	CPT	CT Angio Abdomen W/wo Con	18	15	$6,527.27	$3,916.37 40% off	$1,892.91	$5,874.54	$4,972.15	2024-11-22
72142	CPT	MRI C-spine W	18	15	$6,644.67	$3,986.81 40% off	$1,926.95	$5,980.20	$5,061.58	2024-11-22
73718	CPT	MRI Foot Lt Wo Cont	31	15	$5,987.79	$3,592.68 40% off	$1,736.46	$8,083.52	$5,089.62	2024-11-22
31525	CPT	Laryngoscopy Direct Diag	18	15	$6,702.29	$4,021.38 40% off	$1,943.66	$6,032.06	$5,105.47	2024-11-22
72148	CPT	MRI L-spine Without	19	15	$6,393.83	$3,836.30 40% off	$1,854.21	$5,754.45	$5,115.06	2024-11-22
70551	CPT	MRI Brain Without	50	15	$6,538.08	$3,922.85 40% off	$1,739.50	$8,097.66	$5,164.49	2024-11-22
11424	CPT	Exc B9 Les Snhfg 3.1-4cm	18	15	$6,810.02	$4,086.02 40% off	$1,974.91	$6,129.02	$5,187.53	2024-11-22
74182	CPT	MRI Abdomen W Cont	18	15	$6,810.20	$4,086.12 40% off	$1,974.96	$6,129.18	$5,187.67	2024-11-22
72146	CPT	MRI T Spine Without	19	15	$6,556.76	$3,934.06 40% off	$1,901.46	$5,901.08	$5,245.41	2024-11-22
73721	CPT	MRI Jnt Of Lwr Extre Without Contrast	35	15	$8,782.20	$5,269.32 40% off	$1,697.89	$7,903.98	$5,269.31	2024-11-22
72149	CPT	MRI L-spine W	18	15	$6,924.06	$4,154.44 40% off	$2,007.98	$6,231.65	$5,274.40	2024-11-22
72147	CPT	MRI Thoracic Spine W Cont	18	15	$6,937.61	$4,162.57 40% off	$2,011.91	$6,243.85	$5,284.73	2024-11-22
72197	CPT	MRI Pelvis W & Without	18	15	$7,457.56	$4,474.54 40% off	$2,162.69	$6,711.80	$5,680.80	2024-11-22
70482	CPT	CT Orbit/ear/fossa W/O&with Contrast	31	15	$6,716.89	$4,030.14 40% off	$1,947.90	$7,137.92	$5,709.36	2024-11-22
65235	CPT	Rem Fb Intraocular	18	15	$7,515.92	$4,509.56 40% off	$2,179.62	$6,764.33	$5,725.26	2024-11-22
C1889	HCPCS	Tube 1.27mm Duravent	70	15	$9,543.80	$5,726.28 40% off	$70.07	$16,530.80	$5,794.46	2024-11-22
70552	CPT	MRI Sella W Cont	31	15	$9,840.64	$5,904.39 40% off	$1,913.44	$8,856.58	$5,938.27	2024-11-22
73720	CPT	MRI Lwr Extremity W/O&with Contrast	31	15	$7,077.15	$4,246.29 40% off	$2,052.37	$9,554.14	$6,015.58	2024-11-22
70543	CPT	MRI Orbt/fac/nck Without &with Contrast	18	15	$7,952.02	$4,771.22 40% off	$2,306.09	$7,156.82	$6,057.45	2024-11-22
10121	CPT	Inc&rem Fb Sq Tiss Compl	18	15	$7,992.51	$4,795.51 40% off	$2,317.83	$7,193.26	$6,088.30	2024-11-22
72158	CPT	MRI L-spine W & Without	18	15	$7,992.64	$4,795.59 40% off	$2,317.87	$7,193.38	$6,088.39	2024-11-22
75635	CPT	CTA Aorta/runoffs W/image	19	15	$7,718.99	$4,631.40 40% off	$2,238.51	$6,947.09	$6,175.19	2024-11-22
74183	CPT	MRI Abdomen W & Without	18	15	$8,239.69	$4,943.82 40% off	$2,389.51	$7,415.72	$6,276.58	2024-11-22
72157	CPT	MRI T-spine W & Without	18	15	$8,248.63	$4,949.18 40% off	$2,392.10	$7,423.77	$6,283.39	2024-11-22
71552	CPT	MRI Chest W & Without	18	15	$8,273.02	$4,963.82 40% off	$2,399.18	$7,445.72	$6,301.98	2024-11-22
70546	CPT	MRA Head W & Without	18	15	$8,329.65	$4,997.79 40% off	$2,415.60	$7,496.69	$6,345.11	2024-11-22
70553	CPT	MRI Iac W/wo Cont	47	15	$10,669.63	$6,401.78 40% off	$2,167.58	$10,090.45	$6,401.78	2024-11-22
72191	CPT	CTA Pelvis W/wo Post Proc	18	15	$8,434.20	$5,060.52 40% off	$2,445.92	$7,590.78	$6,424.75	2024-11-22
72156	CPT	MRI C-spine W & Without	18	15	$8,558.63	$5,135.18 40% off	$2,482.00	$7,702.77	$6,519.53	2024-11-22
74176	CPT	CT Abd/pelvis Wo Cont	27	15	$7,776.85	$4,666.11 40% off	$729.82	$7,052.16	$6,610.32	2024-11-22
74174	CPT	CT Angio Abd/pelv W/wo	19	15	$8,467.62	$5,080.58 40% off	$2,455.61	$7,620.86	$6,774.10	2024-11-22
C1788	HCPCS	Bard Powerport W 8fr	18	15	$8,928.00	$5,356.80 40% off	$2,589.12	$8,035.20	$6,800.90	2024-11-22
78452	CPT	Nm Myocrd Perf Spect Mult	22	15	$8,513.19	$5,107.92 40% off	$2,468.83	$7,661.87	$6,810.55	2024-11-22
71275	CPT	CT Angiography Chest	25	15	$8,434.20	$5,060.52 40% off	$2,445.92	$7,590.78	$7,169.07	2024-11-22
20670	CPT	Rem Imp Superficial	18	15	$9,454.83	$5,672.90 40% off	$2,741.90	$8,509.35	$7,202.22	2024-11-22
74177	CPT	CT Abd/pelvis W Cont	27	15	$8,811.92	$5,287.16 40% off	$162.35	$7,930.73	$7,225.01	2024-11-22
73723	CPT	MRI Hip W/wo Con Bil	44	15	$8,659.09	$5,195.46 40% off	$2,065.92	$11,689.78	$7,360.23	2024-11-22
73223	CPT	MRI Joint Upr Extr W/O&with Contrast	31	15	$8,773.95	$5,264.37 40% off	$2,544.45	$11,844.85	$7,457.86	2024-11-22
74178	CPT	CT Abd/pelvis W/wo Cont	18	15	$10,743.20	$6,445.92 40% off	$3,115.53	$9,668.88	$8,183.63	2024-11-22
26350	CPT	Rpr Tdn Without Graft	18	15	$11,154.55	$6,692.73 40% off	$3,234.82	$10,039.10	$8,496.98	2024-11-22
C1776	HCPCS	Implant Hammertube 2.75mm	57	15	$11,688.67	$7,013.21 40% off	$2,588.45	$18,270.87	$9,350.94	2024-11-22

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